Organization
MOUNT DORA SMILES PLLC
Active
Other names
Mount Dora Smiles PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER TRANG VAN DMD (CEO)
(954) 483-8184
Entity
Organization
Contact information
Practice address
19001 US HIGHWAY 441, MOUNT DORA, FL 32757-6708
(352) 549-9420
Mailing address
1581 AMARYLLIS CIR, ORLANDO, FL 32825-7432
(954) 483-8184
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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